Please Remember that the membership process is CONFIDENTIAL to the Nominee!!

Name of the person you wish to nominate:

Number of Years in Oklahoma City

Approx. Age

Married

Yes No

Spouse"s Name

Requirements for Membership:

A Member must be an adult person of good character and good business and professional reputation

1) Engaged as a proprietor, partner, corporate officer, or manager of any worthy and recognized business or profession ; or

2) Hold an important position in any worthy and recognized business or profession or any branch or agency thereof and have executive capacity with discretionary authority; or

3) Be distinguished in community, civic, or political activities

Choose at least one:

1. This person clearly meets criteria for membership and in a classification that is open

2. person may not meet the criteria, but should be considered for membership because:

3. Former Rotarian - List City

Comments:

Nominee:

Name of Firm:

Firm"s Principal Business:

Address of Firm:

Business Phone:

Business Fax:

Business Email:

Position with Firm:

How long?

Prior Firm, if any ( Name & City)

Position/ Title with Prior Firm:

Residence:

Home or Cell Phone:

Please List any of the information that you know about the nominee (High school attended, college or University, Degree, if any:

Club policy requires that a nominee must be distinguished in his/her profession or vocation; or in community activity, or preferably, both. Please list any church affiliation, club or lodge membership; organization that he or she might be affiliated with and office held; and community activities:

Suggested Classification:

Has the nominee ever been, or is the nominee currently a member of another Rotary Club?

Yes No

Please list Rotarians who know the nominee:

How long have you known the nominee: List Years & Months

If you have a resume of the person you are nominating, attach it here: